| NPI | 1568035384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 419417) |
| 163W00000X Registered Nurse (Licence: KY 1141139) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-08-04 |